Individual
DR. COLLEEN MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
14105 LOS NIETOS AVE, POWAY, CA 92064-3020
(858) 215-5131
Mailing address
14105 LOS NIETOS AVE, POWAY, CA 92064-3020
(858) 215-5131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY32722
CA
Other
Enumeration date
07/19/2021
Last updated
05/18/2023
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